Organization Active NPI

P Krawitz MD P.C.

  • Ophthalmology Physician
  • Huntington, NY
National Provider Identifier
1659597573
Registry record updated Mar 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
166763-1 Issued in NY
Legal business name
P KRAWITZ MD P.C.
Practice address
755 Park Avenue
Suite 100
Huntington, NY 11743-3972
Phone
(631) 223-0400
Fax
(631) 421-2689
NPI assigned
Apr 18, 2007
Last updated
Mar 25, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Paul L Krawitz, M.D.
Title
Owner
Phone
(631) 223-0400

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X TUV005551 NY
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 005551 NY
Ophthalmology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207W00000X 086064 NY
Ophthalmology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207W00000X 166763-1 NY Primary
Ophthalmology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207W00000X 099017 NY

Addresses

Primary practice location

755 Park Avenue
Suite 100
Huntington, NY 11743-3972

Mailing address

755 Park Avenue
Suite 100
Huntington, NY 11743-3972
Phone (361) 223-0400

Other names 1

  • Gerald Blumenthal, M.D., Charles I. Bloomgarden M.D., P.C. and Bernard Former legal business name

National Provider Directory

National Provider Directory

Locations

755 Park Ave
Ste 100
Huntington, NY 11743
Phone (631) 223-0400

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395705600000",
    "number": "1659597573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 PARK AVENUE",
            "address_2": "SUITE 100",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117433972",
            "telephone_number": "361-223-0400",
            "fax_number": "631-421-2689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 PARK AVENUE",
            "address_2": "SUITE 100",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117433972",
            "telephone_number": "631-223-0400",
            "fax_number": "631-421-2689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P KRAWITZ MD P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2014-03-25",
        "status": "A",
        "authorized_official_last_name": "KRAWITZ",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-223-0400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV005551",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "005551",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "086064",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "166763-1",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "099017",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gerald Blumenthal, M.D., Charles I. Bloomgarden M.D., P.C. and Bernard",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Huntington, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.